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Neurology International
Volume 2
Issue 1
10.4081/ni.2010.e9
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Neurology International is published by MDPI from Volume 12 Issue 3 (2020). Previous articles were published by another publisher in Open Access under a CC-BY licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Hypertensive Brainstem Encephalopathy Involving Deep Supratentorial Regions: Does Only Blood Pressure Matter?

by
Jong-Ho Park
1,*,
Sung-Min Kim
2,
Hyung-Woo Shin
1 and
Sang Joon An
1
1
Department of Neurology, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea
2
Department of Neurology, Seoul National University Hospital, Seoul, Korea
*
Author to whom correspondence should be addressed.
Neurol. Int. 2010, 2(1), e9; https://doi.org/10.4081/ni.2010.e9
Submission received: 30 October 2009 / Revised: 26 March 2010 / Accepted: 2 April 2010 / Published: 30 April 2010

Abstract

We report on a 42-year-old female patient who presented with high arterial blood pressure of 245/150 mmHg and hypertensive brainstem encephalopathy that involved the brainstem and extensive supratentorial deep gray and white matter. The lesions were nearly completely resolved several days after stabilization of the arterial blood pressure. Normal diffusion-weighted imaging findings and high apparent diffusion coefficient values suggested that the main pathomechanism was vasogenic edema owing to severe hypertension. On the basis of a literature review, the absolute value of blood pressure or whether the patient can control his/her blood pressure seems not to be associated with the degree of the lesions evident on magnetic resonance imaging. It remains to be determined if the acceleration rate and the duration of elevated arterial blood pressure might play a key role in the development of the hypertensive encephalopathy pattern.
Keywords: Hypertensive encephalopathy; Vasogenic edema; Hypertension; Acceleration; Duration; Magnetic resonance imaging Hypertensive encephalopathy; Vasogenic edema; Hypertension; Acceleration; Duration; Magnetic resonance imaging

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MDPI and ACS Style

Park, J.-H.; Kim, S.-M.; Shin, H.-W.; An, S.J. Hypertensive Brainstem Encephalopathy Involving Deep Supratentorial Regions: Does Only Blood Pressure Matter? Neurol. Int. 2010, 2, e9. https://doi.org/10.4081/ni.2010.e9

AMA Style

Park J-H, Kim S-M, Shin H-W, An SJ. Hypertensive Brainstem Encephalopathy Involving Deep Supratentorial Regions: Does Only Blood Pressure Matter? Neurology International. 2010; 2(1):e9. https://doi.org/10.4081/ni.2010.e9

Chicago/Turabian Style

Park, Jong-Ho, Sung-Min Kim, Hyung-Woo Shin, and Sang Joon An. 2010. "Hypertensive Brainstem Encephalopathy Involving Deep Supratentorial Regions: Does Only Blood Pressure Matter?" Neurology International 2, no. 1: e9. https://doi.org/10.4081/ni.2010.e9

APA Style

Park, J. -H., Kim, S. -M., Shin, H. -W., & An, S. J. (2010). Hypertensive Brainstem Encephalopathy Involving Deep Supratentorial Regions: Does Only Blood Pressure Matter? Neurology International, 2(1), e9. https://doi.org/10.4081/ni.2010.e9

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